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Overall, it is clear that NAD + fluxes within the cell are complex and dynamic, but the concentrated levels of NAD + in the mitochondria indicate major impacts of the cofactor in this organelle in particular, which will be summarized below

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This process apparently starts when the VEGF protein, which is considered to be secreted by oxygen-deprived cells during a hypoxic response, and may bind to VEGF receptors on the surface of endothelial cells

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